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Southbrdge Health and Wellness LLC

NPI 1043089998ActiveOrganization· Nurse Practitioner, Adult Health· Jacksonville, FL

Nurse Practitioner, Adult Health in Jacksonville, Florida, registered in NPPES in December 2023. The authorized official on file is Dora Agyei Agyemang, MSN, APRN, ANP-BC, Owner.

Overview

NPI1043089998
StatusActive
Entity typeOrganization
NPI issuedDec 20, 2023
Last updated in NPPESDec 20, 2023
Certified by providerDec 19, 2023

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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